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Wednesday 20 November 2019
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The Winterbourne View final report and Concordat

10 December: The Department of Health publishes 'Transforming Care: A national response to Winterbourne View Hospital', and 'Concordat: Programme of Action'.

Download the documents from the Department of Health website >



16 December 2012

BILD welcomes both the Transforming Care: A national response to Winterbourne View Hospital report and the Concordat, and are pleased to sign up to the Concordat and contribute to the programme of action. 

In his foreword to the report, Norman Lamb speaks of “promoting a culture and a way of working that actively challenges poor practice and promotes compassionate care across the system”

We wholeheartedly agree with this aim. The implementation of the actions in the report - well illustrated by the timetable in Appendix B - shows the scale of the opportunity now offered: to participate in an in-depth change management programme that could lead to world class services for people with learning disabilities. This is right: we need to be ambitious and passionate to get it right this time.

But this needs more than a culture of compassion at the point of support, it also needs a complete change of culture at the points of system design, management and leadership. Far too often we see a system that fails people with learning disabilities and their families and marginalises or excludes them from partnership or real involvement. 

This needs a change of perspective, one that puts the person at the heart of the service. They and their families are not mere consumers of a service – or ‘service users’ - but are the true customers of the service. Their needs are greater than the needs of the staff supporting them, greater than the needs of the shareholders and greater than the needs of a system where institutions themselves become institutionalised, leading to poor practice and the risk of developing toxic cultures.

Much of the responsibility for getting this right for people who challenge lies with Government, which must take the lead and see it through. It won’t work if we don’t get cultural change in the system itself right as well. The way forward depends on working in many partnerships, but particularly with individuals and their families, to develop quality services in local communities. We must stop sending people away from their families, friends and communities.

The scale of the challenge should not be underestimated. Everyone must commit to making this work.  

The British Institute of Learning Disabilities (BILD) commits to identifying and promoting good practice - that is deeply rooted in human rights - throughout the sector, by:

  1. Providing and disseminating high quality information and learning and development for the sector that will promote good practice and use our consultancy expertise to challenge poor practice. 
  2. Promoting positive behaviour support as a fundamental approach when supporting individuals with learning disabilities or autism and behaviour that is described as challenging.
  3. Reviewing and improving BILD’s voluntary Physical Intervention Accreditation Scheme and its underpinning Code of Practice – that continues to promote positive behaviour support as central to the delivery of training – with key stakeholders and reporting on progress.
  4. Promoting and supporting advocacy services and self-advocacy.


BILD will continue to recognise and tell others about the unique contribution that people with learning disabilities can and do make, and is committed to help make the changes that are needed for transformation.


Download a copy of this comment >

For more information contact BILD's Communications Manager, Peter Salisbury on 01562 723040 or email p.salisbury@bild.org.uk

You can read more about the background to Winterbourne View and the responses since on our Winterbourne View responses page >





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